Hey, i'm starting to watch your videos. good stuff. one problem i notice with all of them. all your subjects are flexible, fit people. as a clinician, my biggest issue is doing these things on your typical overweight pt thats even a little bigger and tighter than me. perhaps gets some variety in your subject. thanks again
Yeah, I know. My subjects are my employees and team members. Gotta get more patients on cam. But I will tell u that I perform all of the same techniques with larger folks as well. Same technique.
i dont manipulate heniations due to the tear in the disc. Could make patient worse or better. Not predictable enough. Manipulations work best on facetogenic pain or from mild discogenic pain. thank you!!
I'm currently in a school of osteopathy that strictly teaches short lever manipulations for specificity reasons. When adjusting a joint, we are only allowed to use a tiny bit of rotation. The next component is sidebending, then flexion or extension, then a directional pressure to the joint using body weight. Each of these components until we feel a barrier at the segment that is targeted. At @1:16 in this video, the shoulder is completely taken from underneath the body, putting nearly every vertebra at end range motion like a corkscrew. I don't see how a therapist can specifically adjust for example L3-L4 when all other joints are locked as well. It is guaranteed to pop somewhere in the corkscrew, but I doubt it is specific for the 1 joint that is targeted for being in dysfunction. I guess this is where the warfare between long lever schools and short lever schools comes from. In my first year of manipulation, I had a 95% success rate using long lever techniques. It would always click somewhere in the corkscrew. Now I have turned to short lever for specificity, that rate is much lower. I think it requires a lot more training, feel and experience
Thanks for the comment. I usually manipulate for pain reduction, not mobility. If I want to mobilize just one segment I use a UPA in prone, or a similar technique with fewer moving parts. I also use a short lever version of the lumbar manip, but this video shows the long lever. I agree that specificity is sometimes important, but in my experience, the most satisfying and pain-relieving manips are the ones that get multiple joints to cavitate, not just one. I am way more concerned about segmental specificity in the cervical spine. In the lumbar spine, I think "upper, middle and lower." Besides, even if you target a segment, how do you know that's the one that clicked? Also keep in mind, although the thoracic spine is torsioned till a gentle soft tissue barrier is reached, the thoracic spine never cavitates during this manip. Just because a region is on tension does not mean it is in a position to cavitate. Feel free to reach back out with thoughts, always welcomed. thx
It doesn't matter. You're not adjusting anything. All a manipulation does is neurophysiological change. You're not changing any mechanics. Also you can't be specific no matter how much you try. Evidence clearly shows that.
As has been said I'd third this. I'm.a chiropractor, this guy is a physio, then colleagues that are osteopaths all do something very similar. The subtle technical mechanistic levers make little difference. The effect is neurophysiological anyhow so specificity isn't that important in the lumbar, thoracic and arguably even the cervical spine.
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Feel free to ask a question or leave a comment!!
this is the best video I've seen of Lumbar manip. Thanks heaps for your content
thank you for your support!
Can you pls show pulling of slack and leg movement from different angle
Will try to do that in the next video!
Safe for lumbosacral pain?
What table do you use please
Hey, i'm starting to watch your videos. good stuff. one problem i notice with all of them. all your subjects are flexible, fit people. as a clinician, my biggest issue is doing these things on your typical overweight pt thats even a little bigger and tighter than me. perhaps gets some variety in your subject.
thanks again
Yeah, I know. My subjects are my employees and team members. Gotta get more patients on cam. But I will tell u that I perform all of the same techniques with larger folks as well. Same technique.
If a patient get herniated disk should we adjusting exactly where the hernia is or work only around it because you could make it worse?
i dont manipulate heniations due to the tear in the disc. Could make patient worse or better. Not predictable enough. Manipulations work best on facetogenic pain or from mild discogenic pain. thank you!!
@@bodyworkdojo Thank you for answer!
I'm currently in a school of osteopathy that strictly teaches short lever manipulations for specificity reasons. When adjusting a joint, we are only allowed to use a tiny bit of rotation. The next component is sidebending, then flexion or extension, then a directional pressure to the joint using body weight. Each of these components until we feel a barrier at the segment that is targeted. At @1:16 in this video, the shoulder is completely taken from underneath the body, putting nearly every vertebra at end range motion like a corkscrew. I don't see how a therapist can specifically adjust for example L3-L4 when all other joints are locked as well. It is guaranteed to pop somewhere in the corkscrew, but I doubt it is specific for the 1 joint that is targeted for being in dysfunction. I guess this is where the warfare between long lever schools and short lever schools comes from. In my first year of manipulation, I had a 95% success rate using long lever techniques. It would always click somewhere in the corkscrew. Now I have turned to short lever for specificity, that rate is much lower. I think it requires a lot more training, feel and experience
Thanks for the comment. I usually manipulate for pain reduction, not mobility. If I want to mobilize just one segment I use a UPA in prone, or a similar technique with fewer moving parts. I also use a short lever version of the lumbar manip, but this video shows the long lever. I agree that specificity is sometimes important, but in my experience, the most satisfying and pain-relieving manips are the ones that get multiple joints to cavitate, not just one. I am way more concerned about segmental specificity in the cervical spine. In the lumbar spine, I think "upper, middle and lower." Besides, even if you target a segment, how do you know that's the one that clicked? Also keep in mind, although the thoracic spine is torsioned till a gentle soft tissue barrier is reached, the thoracic spine never cavitates during this manip. Just because a region is on tension does not mean it is in a position to cavitate. Feel free to reach back out with thoughts, always welcomed. thx
It doesn't matter. You're not adjusting anything. All a manipulation does is neurophysiological change. You're not changing any mechanics. Also you can't be specific no matter how much you try. Evidence clearly shows that.
As has been said I'd third this. I'm.a chiropractor, this guy is a physio, then colleagues that are osteopaths all do something very similar. The subtle technical mechanistic levers make little difference. The effect is neurophysiological anyhow so specificity isn't that important in the lumbar, thoracic and arguably even the cervical spine.
Nicely done
Thank you. Appreciate your support!
Hello, are contacting S1 with your left hand?
Left hand contacting PSIS on the ilium. Thank u
Hello nice video ! It would be great if wr have more angles with respect to your feet. Just a suggestion 🙏🙏
Will do thanks for the suggestion.
Excellent detail
Thank u
Fantastic
Thank you!
Welcome : )
Want to learn
Thanks
Welcome
niceeeee thx
you are welcome!
Amazing